Active NPI
Benjamin Kothe, LAC
- Acupuncturist
- Minneapolis, MN
National Provider Identifier
1124775077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1992
- Practice address
- 314 Clifton Ave Ste C101
Minneapolis, MN 55403-3235 - Phone
- (651) 335-6534
- NPI assigned
- Mar 9, 2022
- Last updated
- Apr 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1992 | MN | Primary |
Addresses
Primary practice location
314 Clifton Ave Ste C101
Minneapolis, MN 55403-3235
Mailing address
10681 Smetana Rd Apt 106
Minnetonka, MN 55343-8083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1992 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiron LLC | Current | Accepting new patients |
Locations
314 Clifton Ave
Ste C101
Minneapolis, MN 55403
Phone (651) 335-6534
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1124775077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10681 SMETANA RD APT 106",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553438083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 CLIFTON AVE STE C101",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033235",
"telephone_number": "651-335-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTHE",
"first_name": "BENJAMIN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-09",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.